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Hcc Coding Jobs in Carson, CA (NOW HIRING)

Urrly

Telehealth Nurse Practitioners

Los Angeles, CA · On-site +1

$600 - $720/day

Document risk adjustment (HCC coding) during patient visits * Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs * Document visits using ICD-10 and CPT II ...

AltaMed

Regional Medical Director

Commerce, CA · On-site

$348K - $417K/yr

Experience in working with Medi-Cal, Medicare, and frail elderly or senior populations, and knowledge of appropriate diagnostic reporting and HCC coding. * A minimum requirement of a valid BLS ...

AltaMed

Regional Medical Director

Los Angeles, CA · On-site

$348K - $417K/yr

Experience in working with Medi-Cal, Medicare, and frail elderly or senior populations, and knowledge of appropriate diagnostic reporting and HCC coding. * A minimum requirement of a valid BLS ...

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All JobsHcc Coding JobsHcc Coding Jobs in Carson, CA

Hcc Coding information

See Carson, CA salary details

$16

$28

$45

How much do hcc coding jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for hcc coding in Carson, CA is $28.75, according to ZipRecruiter salary data. Most workers in this role earn between $19.86 and $36.20 per hour, depending on experience, location, and employer.

What is HCC coding?

HCC coding stands for Hierarchical Condition Category coding, which is a risk adjustment model used primarily by Medicare to estimate future healthcare costs for patients. HCC coders review medical records to identify and assign the appropriate ICD-10 codes that capture a patient's diagnoses and health conditions. Accurate HCC coding ensures proper reimbursement for healthcare providers and helps reflect the complexity of a patient’s health status. This process is essential for risk adjustment in value-based care models.

What are the key skills and qualifications needed to thrive as an HCC coder?

To thrive as an HCC Coder, you need a solid understanding of medical coding, risk adjustment models, and clinical documentation, typically with a certification such as CPC, CCS, or CRC. Familiarity with coding software, EHR systems, and the CMS HCC risk adjustment model is essential. Attention to detail, analytical thinking, and effective communication skills distinguish top performers in this field. These skills ensure accurate coding for risk adjustment, which directly impacts healthcare reimbursement and compliance.

What are some common challenges faced by HCC coders, and how can they be addressed in a healthcare setting?

HCC Coders often encounter challenges such as incomplete or ambiguous medical documentation, frequent updates to coding guidelines, and the need for ongoing collaboration with providers to ensure accurate capture of risk adjustment data. These challenges can be addressed by maintaining open communication with clinicians, participating in regular training on coding updates, and utilizing auditing tools to review and improve documentation quality. Proactively seeking clarification and staying current with industry standards are key to success in this role.

What is the difference between Hcc Coding vs Medical Coding?

AspectHcc CodingMedical Coding
Required CredentialsCertification (e.g., CPC, CCS), specialized training in HCCCertification (e.g., CPC, CCS), general medical coding training
Work EnvironmentHealthcare facilities, insurance companies, risk adjustment teamsHospitals, clinics, physician offices, insurance companies
Industry UsageRisk adjustment, Medicare Advantage, MedicaidBilling, reimbursement, medical record management
Search & Comparison IntentHcc Coding vs Medical CodingMedical Coding

Hcc Coding focuses on risk adjustment and insurance reimbursement, requiring specialized knowledge of Hierarchical Condition Categories. Medical Coding covers a broader range of medical billing and record-keeping tasks. While both roles involve coding, Hcc Coding is more specialized for insurance and risk management, whereas Medical Coding is essential for general healthcare billing and documentation.

Is HCC coding a good career?

HCC coding, which involves hierarchical condition category coding for risk adjustment, is a growing field with demand in healthcare organizations. It typically requires certification, attention to detail, and knowledge of medical terminology and coding systems, offering stable employment opportunities. The career can lead to roles in healthcare administration, compliance, and data analysis.

What does an HCC coder do?

An HCC coder reviews medical records and assigns Hierarchical Condition Category (HCC) codes to accurately reflect a patient's health conditions. This coding supports risk adjustment for insurance reimbursement and requires knowledge of medical terminology, coding guidelines, and often the use of specialized coding software. Accurate HCC coding is essential for proper payment and healthcare data analysis.

What are popular job titles related to Hcc Coding jobs in Carson, CA?

For Hcc Coding jobs in Carson, CA, the most frequently searched job titles are:

What cities near Carson, CA are hiring for Hcc Coding jobs?

Cities near Carson, CA with the most Hcc Coding job openings:

Hcc Coding jobs near you
Infographic showing various Hcc Coding job openings in Carson, CA as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 12% Part Time, 1% Temporary, and 4% Contract. Highlights an 74% Physical, 6% Hybrid, and 20% Remote job distribution, with an average salary of $59,803 per year, or $28.8 per hour.

Risk Adjustment Coding Specialist II (CST/EST)

Monterey Park, CA • Remote

Astrana Health, Inc.
See more jobs at Astrana Health, Inc.external

$70K - $85K/yr

Full-time

Posted 6 days ago

Job description

Description
We are currently seeking a highly motivated Risk Adjustment Coding Specialist to support our Houston market.  In this role, you will support risk adjustment efforts by conducting high-volume chart reviews to identify coding gaps, trends, and opportunities for improved accuracy for our providers. You’ll translate your findings into actionable insights, creating and delivering education to providers and practice leaders while navigating complex conversations. Additionally, you’ll track and report on key performance metrics—such as HCC recapture rates, AWVs, and other KPIs, helping drive provider performance and overall program success. 
We are seeking candidates who have experience with provider education and at least 3-5 years of risk adjustment experience! This position requires travel to provider offices twice a week in the Houston area.
Our Values: 
  • Put Patients First
  • Empower Entrepreneurial Provider and Care Teams
  • Operate with Integrity & Excellence
  • Be Innovative
  • Work As One Team

What You'll Do
  • Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company
  • Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC) 
  • Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines 
  • Interacts with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation
  • Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing
  • Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements.
  • Provides recommendations to management related to process improvements, root-cause analysis, and/or barrier resolution applicable to Risk Adjustment initiatives.
  • Trains, mentors and supports new employees during the orientation process. Functions as a resource to existing staff for projects and daily work.
  • Provides peer to peer guidance through informal discussion and overread assignments. Supports coder training and orientation as requested by manager.
  • May assist or lead projects and/or higher work volume than Risk Adjustment Coding Specialist I
  • Other duties as assigned

Qualifications
  • Required Certification/Licensure: Must possess and maintain AAPC certification, CPC and CRC.
  • At least 3 years of experience in risk adjustment coding and/or billing experience required.
  • At least 1 year of experience with targeted provider education.
  • Reliable transportation/Valid Driver’s License/Must be able to travel up to 75% of work time
  • PC skills and experience using Microsoft applications such as Word, Excel, and Outlook
  • Excellent presentation, verbal and written communication skills, and ability to collaborate 
  • Must possess the ability to educate and train provider office staff members
  • Proficiency with healthcare coding software and Electronic Health Records (EHR) systems.
You're great for this role if:    
  • Strong billing knowledge and/or Certified Professional Biller (CPB) through APPC
  • Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage
  • Strong PowerPoint and public speaking experience
  • Ability to work independently and collaborate in a team setting
  • Experience with Monday.com
  • Experience collaborating with, educating, and presenting to provider teams in a face-to-face setting

Environmental Job Requirements and Working Conditions
  • The national target pay range for this role is $70,000 - $85,000 per year. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
  • This position is remotely based in the U.S. The home office is located at 1600 Corporate Center Dr. Monterey Park, CA 91754. 
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.    

Additional Information:     
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.